New York
Provider Communications

December 2022 Newsletter

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Title Category

2023 Medicare Advantage service area and benefit updates

Medicare

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Attention lab providers: COVID-19 update regarding reimbursement

Material Adverse Change (MAC)
Administrative

CAA: Timely updates help keep our provider directories current

Administrative

Case management program

Administrative

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
Pharmacy

Clinical practice and preventive health guidelines available on empireblue.com

Administrative

Coordination of care

Administrative

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare

Important information about utilization management

Administrative

IngenioRx will become CarelonRx on January 1, 2023

Administrative

Keep up with Medicaid news - December 2022

View these Medicaid articles:
Medicaid

Keep up with Medicare news - December 2022

View these Medicaid articles:
Medicare

Member assessment of PCP after-hours messaging in 2022

Administrative

Members’ rights and responsibilities

Administrative

Member’s assessment of behavioral healthcare after-hours messaging in 2022

Administrative

Oral health equity

Medicaid

Personal home helper benefit ending

Medicare

Pharmacy information available on the provider website

Pharmacy

Reimbursement policy update: Bundled Services and Supplies - Professional

Material Adverse Change (MAC)
Reimbursement Policies

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

Material Adverse Change (MAC)
Reimbursement Policies

Signature requirements for laboratory orders or requisitions

Administrative

Specialty pharmacy updates - December 2022

Material Adverse Change (MAC)
Pharmacy

State of Connecticut employer group - BlueCare Prime update

Administrative

Update to the Pregnancy Notification Form

Medicaid
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